The Relationship Between the Kinetic Parameters, Electromyography Activity, and Kinesiophobia Among Copers, Chronic Ankle Instability, and Healthy Subjects During Gait Initiation: A Cross-Sectional Study.

Context: Following a lateral ankle sprain, chronic ankle instability (CAI) subjects show recurrent episodes of giving way, while copers do not exhibit giving way and overcome the challenging condition of postural control. During gait initiation (GI), individuals with CAI reveal shorter center of pre...

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Publicado en:Journal of Sport Rehabilitation Vol. 35; no. 1; pp. 14 - 24
Autores principales: Mortezanejad, Marzieh, Ebrahimabadi, Zahra, Rahimi, Abbas, Ehsani, Fatemeh, Maleki, Ali, Akbarzadeh Baghban, Alireza
Formato: research tables/charts Journal Article
Publicado: Human Kinetics Publishers, Inc. Jan2026
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Sport Rehabilitation
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      dt: Jan2026
      vid: 35
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      pub: Human Kinetics Publishers, Inc.
      place: Champaign, Illinois
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        atl: The Relationship Between the Kinetic Parameters, Electromyography Activity, and Kinesiophobia Among Copers, Chronic Ankle Instability, and Healthy Subjects During Gait Initiation: A Cross-Sectional Study.
      aug:
        au:
          Mortezanejad, Marzieh
          Ebrahimabadi, Zahra
          Rahimi, Abbas
          Ehsani, Fatemeh
          Maleki, Ali
          Akbarzadeh Baghban, Alireza
        affil: Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Chronic Ankle Instability Physiopathology
          Gait Physiology
          Kinesiophobia
          Electromyography
          Kinetics
          Functional Assessment
          Balance, Postural Evaluation
          Human
          Male
          Female
          Adult
          Cross Sectional Studies
          Comparative Studies
          Descriptive Statistics
          Data Analysis Software
          Questionnaires
          Sample Size Determination
          One-Way Analysis of Variance
          Kruskal-Wallis Test
          Post Hoc Analysis
          Intraclass Correlation Coefficient
          Health Behavior
          Muscle, Skeletal Physiology
          Ground Reaction Force
          Range of Motion
          Adult: 19-44 years
          Male
          Female
      ab: Context: Following a lateral ankle sprain, chronic ankle instability (CAI) subjects show recurrent episodes of giving way, while copers do not exhibit giving way and overcome the challenging condition of postural control. During gait initiation (GI), individuals with CAI reveal shorter center of pressure (COP) displacement and earlier muscle activity compared with healthy controls. Copers have not been previously compared with healthy controls and individuals with CAI during GI. Design: The study design was cross-sectional. Method: Sixty participants (20 CAI, 20 copers, and 20 healthy controls) with a right (dominant) limb injury participated in the study based on inclusion and exclusion criteria. The short form of the Tampa Scale of Kinesiophobia was filled out. Participants performed GI with the nonaffected leg on the force plate that was synchronized with Electromyography Megawin for 2 strides. GI was divided into 3 phases based on COP excursion (S1, S2, and S3). Onset time and electromyography activity of both soleus and tibialis anterior muscles were analyzed along with maximum and mean excursion and velocity of COP excursion in the anterior–posterior and medial–lateral directions and the total phases of GI. Results: The results indicated that the copers had a significantly higher peak of COP excursion in the medial–lateral direction during S2 (P =.029), S3 (P =.018), and total phases (P =.018) of GI compared with the individuals with CAI. Additionally, individuals with CAI showed earlier activation of the right soleus compared with healthy controls (P =.022). There was a significant difference in short form of the Tampa Scale of Kinesiophobia scores between individuals with CAI and other groups (P <.001). Conclusion: The findings demonstrated that individuals with CAI had earlier soleus activation and supraspinal alteration compared with controls. Copers who had lower Tampa Scale of Kinesiophobia scores exhibited an increased peak of COP excursion in the medial–lateral direction during GI compared with individuals with CAI.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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